Individual provider Active NPI

Michelle Zetoony Nudell, D.O.

  • Internal Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1679785364
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
OS9290 Issued in FL
Practice address
10707 66TH St N Ste B
Pinellas Park, FL 33782
Phone
(727) 826-0933
Fax
(727) 350-3487
NPI assigned
May 4, 2007
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OS9290 FL Primary
Internal Medicine Physician 207R00000X 5101016728 MI

Addresses

Primary practice location

10707 66TH St N Ste B
Pinellas Park, FL 33782

Mailing address

10707 66TH St N Ste B
Pinellas Park, FL 33782-2353
Phone (727) 826-0933

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110316000411 FL Practitioner - Internal MedicinePractitioner - Pulmonary Disease 1456533157 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pulmonary Disease
Education
Philadelphia College of Osteopathic Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10707 66TH St N
Suite B
Pinellas Park, FL 33782-2353
Phone (727) 826-0933

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.71 of 100Reported as individual
Quality
95.42
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101016728MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DO Sleep Solutions, Inc. Internal Medicine CurrentSince Jul 16, 2013 Accepting new patients

Locations

10707 66th St N
Ste B
Pinellas Park, FL 33782
Phone (727) 547-2400

545 4th Ave S
Ste A
St Petersburg, FL 33701
Phone (727) 826-0933

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIGCCA/Endpoint/AIGCCA

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1679785364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10707 66TH ST N STE B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337822353",
            "telephone_number": "727-826-0933",
            "fax_number": "727-350-3487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10707 66TH ST N STE B",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "33782",
            "telephone_number": "727-826-0933",
            "fax_number": "727-350-3487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZETOONY NUDELL",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-04",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "OS9290",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101016728",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.